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“Fighting the Battle Against Impaired Driving” - State of Michigan

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<strong>“Fighting</strong> <strong>the</strong> <strong>Battle</strong> <strong>Against</strong> <strong>Impaired</strong><br />

<strong>Driving”</strong><br />

MI Office <strong>of</strong> Highway Safety Planning<br />

March 12, 2008<br />

Ernie Floegel, IACP<br />

Officer Jeramey Peters, Auburn Hills PD


Drugged Driving?<br />

Is it a problem?<br />

Who’s doing it?<br />

How do we prevent it?


New Data – Washington <strong>State</strong><br />

2003 – Study by Dr. Barry Logan<br />

revealed that 44 percent <strong>of</strong> drivers killed<br />

in crashes in Washington tested<br />

positive for alcohol.<br />

Of those, 38 percent were also positive<br />

for psychoactive drugs and 30 percent<br />

<strong>of</strong> <strong>the</strong> drivers who were alcohol free,<br />

were positive for drugs. (WA DRE Newsletter, 2004)


Hand-Sanitizers<br />

• 62 % Alcohol<br />

• Licking<br />

• Rubbing on Gums<br />

• Poisonous


Huffing<br />

• North Little Rock, AR<br />

• 16 Year Old Female<br />

• Unconscious / Ambulance<br />

• Vapor Heavier Then Air – Displaces<br />

Oxygen<br />

• Knowledge Came From PO /


Zamboni<br />

• Newark, NJ<br />

• 0.12 %<br />

• Beer, Vodka, Sambuca & Valium


Horseback<br />

• Sylvania, Alabama<br />

• Midnight / City Street<br />

• 40 Year Old Female<br />

• Under <strong>the</strong> Influence <strong>of</strong> a Controlled<br />

Substance, Drug Possession, etc. etc.<br />

• Crystal Meth, Marijuana


“Cheese”: The New Face <strong>of</strong><br />

Heroin<br />

+ =<br />

Black Tar Heroin<br />

Tylenol PM or generic<br />

“Cheese”


What is “Cheese”?<br />

Black tar heroin combined with crushed Tylenol<br />

PM tablets<br />

Highly Addictive and very dangerous<br />

Tan-colored powder usually snorted through <strong>the</strong><br />

nose with a tube, straw, or small ballpoint pen<br />

Packaged in a small paper bindle or zip lock<br />

baggie<br />

Can be bought for as little as $2<br />

Popular among Hispanic juveniles, both male and<br />

female<br />

Has been identified in more than a dozen Dallas<br />

ISD secondary and surrounding suburbs


Symptoms <strong>of</strong> Use<br />

Drowsiness and Lethargy<br />

Euphoria<br />

Excessive Thirst<br />

Disorientation<br />

Sleepiness and Hunger<br />

Sudden change in grades & friends


References<br />

Information for this presentation obtained from:<br />

• Dallas ISD Police and Safe and Drug-Free<br />

Schools/Abstinence Education Programs,<br />

February 2007<br />

• TEA Region X Conference Presentation by<br />

Jeremy Liebbe, CPES, DISD Police Department


The Drugged Driving Problem -<br />

What Are We Doing About It?<br />

Are our prosecutors<br />

properly trained to<br />

prosecute drugged<br />

drivers?<br />

Are we training our<br />

<strong>of</strong>ficers properly?<br />

Do <strong>of</strong>ficers know<br />

what to look for?


IMPAIRED DRIVER<br />

ENFORCEMENT PROGRAMS<br />

Standardized Field Sobriety Testing<br />

Drug Evaluation Classification Program<br />

Provides “One-Two Knockout Punch” for<br />

detecting impaired drivers.


Standardized Field Sobriety<br />

Testing (SFST’s)<br />

“Foundation” to all impaired driving training<br />

Developed by NHTSA<br />

Training began in <strong>the</strong> early 1980’s<br />

By 1995 – all 50 states involved<br />

“Standardized” curriculum


THE THREE TESTS<br />

• Horizontal Gaze Nystagmus Test (HGN)<br />

• Walk and Turn Test (WAT)<br />

• One Leg Stand (OLS)


ACCURACY<br />

• These tests, especially HGN and WAT,<br />

when administered correctly and sufficient<br />

clues are observed, have an 80% reliability<br />

that <strong>the</strong> subject is at or above a .08 BAC<br />

• SFS Tests enable <strong>the</strong> <strong>of</strong>fice to determine<br />

whe<strong>the</strong>r or not <strong>the</strong> operator is impaired.<br />

• A trained <strong>of</strong>ficer can administer <strong>the</strong> three<br />

test battery on <strong>the</strong> road.


TRAINING DETAILS<br />

• Training is 32 hours.<br />

• Student to instructor ratio <strong>of</strong> 3 or 4.<br />

• Unique hands-on learning.<br />

• Two alcohol workshops / Dry or Wet<br />

• NHTSA and International Association <strong>of</strong> Chiefs<br />

<strong>of</strong> Police (IACP) have sanctioned <strong>the</strong> SFST<br />

Training. The SFST training and national<br />

standards are under <strong>the</strong> auspices <strong>of</strong> <strong>the</strong> IACP’s<br />

Highway Safety Committee’s Technical Advisory<br />

Panel.


Program Transition<br />

• Program oversight was transitioned to <strong>the</strong><br />

<strong>State</strong>s in <strong>the</strong> early 1990s.<br />

• <strong>State</strong> Highway Safety Offices had <strong>the</strong><br />

oversight and responsibility to ensure <strong>the</strong><br />

program was administered properly across<br />

<strong>the</strong> <strong>State</strong>.


What Happened(1)?<br />

• Like many programs, record keeping<br />

was lax.<br />

• The pr<strong>of</strong>iciency <strong>of</strong> law enforcement<br />

skills declined.<br />

• Some <strong>State</strong>s required law enforcement<br />

to be certified, generally through each<br />

<strong>State</strong>’s Peace Officers Standards and<br />

Training Council (POST).


What Happened(2)?<br />

• Less than optimal communications between<br />

law enforcement, Highway Safety Offices,<br />

Regional Office and NHTSA HQ.<br />

• As a result, <strong>the</strong> training <strong>of</strong>ten did not follow<br />

updated NHTSA/IACP curricula.<br />

• Deterioration <strong>of</strong> skills caused difficulty in<br />

some courts.


Purpose <strong>of</strong> SFST Program<br />

Assessment<br />

• Evaluate <strong>the</strong> status <strong>of</strong> a <strong>State</strong> SFST<br />

Program.<br />

• Improve <strong>the</strong> administration, operation,<br />

prosecution, and adjudication <strong>of</strong> impaired<br />

driving cases.<br />

• Improve continuity <strong>of</strong> program on a <strong>State</strong><br />

level.<br />

• Identify resources available to <strong>the</strong> <strong>State</strong>.


PICTURE THIS SENARIO<br />

A police <strong>of</strong>ficer stops a<br />

driver operating a vehicle<br />

unable to maintain a single<br />

lane <strong>of</strong> travel. The <strong>of</strong>ficer<br />

finds a clearly impaired<br />

driver who is confused,<br />

disoriented.


DRIVER FAILS<br />

• The driver fails <strong>the</strong> roadside tests and is<br />

arrested for DUI. However, a breath test fails<br />

to detect <strong>the</strong> presence <strong>of</strong> alcohol.<br />

• Is <strong>the</strong> driver impaired? What evidence is<br />

needed to convict <strong>the</strong> driver?


SOLUTION<br />

• Police <strong>of</strong>ficers frequently encounter this<br />

type <strong>of</strong> scenario and <strong>the</strong> aftermath on our<br />

roads caused by drug-impaired drivers.<br />

Many times <strong>the</strong> impaired drivers are<br />

arrested, but not convicted. Hampered<br />

by this type <strong>of</strong> situation, law<br />

enforcement <strong>of</strong>ficers sought out o<strong>the</strong>r<br />

solutions to identify and convict drugged<br />

impaired drivers.


New York <strong>State</strong> Police<br />

• Erratic vehicle stopped by Non-DRE<br />

• Issued several UTT’s<br />

• Ready to cut her loose<br />

• DRE assisted, interviewed<br />

• Arrested for DWAI Drugs<br />

• CNS Depressants & Cannabis<br />

• $60,000 Drug Money<br />

• Appendix #II & III


Drug Evaluation and<br />

Classification Program<br />

Developed in Los Angeles in 1970’s as<br />

<strong>the</strong> Drug Recognition Expert (DRE)<br />

Program<br />

1987 - NHTSA assisted<br />

in <strong>the</strong> development and<br />

expansion <strong>of</strong> <strong>the</strong> program


DEC Program<br />

Trains <strong>of</strong>ficers to be Drug Recognition<br />

Experts or Drug Recognition Evaluators<br />

(DREs)<br />

Program oversight to IACP in 1989<br />

44 states in <strong>the</strong> program<br />

Over 6,000 DREs in U.S. (01-01-08)


DRUG RECOGNITION<br />

EXPERT<br />

What is a DRE?<br />

A police <strong>of</strong>ficer highly<br />

trained in detecting and<br />

recognizing impairment<br />

caused by substances<br />

o<strong>the</strong>r than alcohol.


What Does <strong>the</strong> DRE Do?<br />

Normally post arrest<br />

Provides expertise and assistance<br />

in drug impaired driving<br />

investigations<br />

Requested when impairment is not<br />

consistent with <strong>the</strong> arrestee’s BAC<br />

Drug training expertise<br />

Quality DWI enforcement


DRE Determines:<br />

1. If <strong>the</strong> subject is impaired<br />

2. If <strong>the</strong> impairment is drug<br />

or medically related<br />

3. If drug related, which<br />

category <strong>of</strong> drug(s) is<br />

likely causing <strong>the</strong> impairment


The DRE Drug Influence<br />

Evaluation<br />

12 –Step<br />

Standardized<br />

and<br />

Systematic<br />

Process


Drug Recognition Training<br />

<br />

<br />

<br />

<br />

<br />

Phase I - DRE Pre-School (16 hours)<br />

Phase II - DRE School (56 hours)<br />

Phase III - Certification Training (40-60 hours)<br />

Re-Certification training every two years<br />

On-going training


THE TWO DAY PRE-SCHOOL<br />

• Includes an introduction to <strong>the</strong> DRE Program.<br />

• Overview <strong>of</strong> <strong>the</strong> seven drug categories.<br />

• Includes an introduction to <strong>the</strong> twelve step<br />

process.<br />

• Includes <strong>the</strong> proper techniques <strong>of</strong> taking vital<br />

signs.<br />

• Overview and pr<strong>of</strong>iciency <strong>of</strong> <strong>the</strong> standardized<br />

field sobriety tests.


THE SEVEN DAY<br />

DRE SCHOOL<br />

• Drugs In Society<br />

• Development and effectiveness <strong>of</strong> <strong>the</strong> DEC Program<br />

• The seven drug categories and <strong>the</strong> signs and effects<br />

with each category.<br />

• Physiology and drugs<br />

• The DRE 12-Step process<br />

• Vital signs<br />

• Eye examinations (pupil size, reaction to light,<br />

nystagmus)<br />

• Successful completion <strong>of</strong> a final written exam.


FIELD EVALUATIONS<br />

• DRE must complete a minimum <strong>of</strong> 12 drug<br />

evaluations, administering at least six.<br />

• DRE must correctly evaluate people under<br />

<strong>the</strong> influence <strong>of</strong> at least three <strong>of</strong> <strong>the</strong> seven<br />

drug categories.<br />

• Evaluations must be confirmed through<br />

toxicology.


DRE PROCEEDURES<br />

• 12- Step standardized and systematic<br />

process<br />

• DREs are trained to follow an evaluation<br />

checklist<br />

• Proceeds from BAC through assessment <strong>of</strong><br />

signs <strong>of</strong> impairment to toxicological<br />

analysis<br />

• Similar to standard medical diagnosis<br />

procedures<br />

• Takes approximately 60 minutes to complete<br />

an evaluation


Step 1:<br />

Blood Alcohol Content<br />

• DRE or Arresting<br />

Officer determines if<br />

alcohol is involved.


Step 2:<br />

Interview <strong>the</strong> Arresting Officer<br />

• DRE determines <strong>the</strong><br />

reason for <strong>the</strong> arrest<br />

• Driving observed?<br />

• SFST results?<br />

• <strong>State</strong>ments made?<br />

• O<strong>the</strong>r relevant matters


Step 3:<br />

Preliminary Examination<br />

• Fork-In-Road<br />

• Determines if <strong>the</strong> subject is impaired<br />

• Determines if <strong>the</strong> impairment is drug or<br />

medically related<br />

• If drug related, <strong>the</strong> DRE determines<br />

which category <strong>of</strong> drug's) is likely<br />

causing <strong>the</strong> impairment


DRE Training<br />

Medical Rule Outs<br />

• Tempe, AZ<br />

• Diabetic<br />

• Nancy


DRE tests for:<br />

• Horizontal Gaze<br />

Nystagmus (HGN)<br />

• Vertical Nystagmus<br />

(VGN)<br />

• Eye Convergence<br />

Step 4:<br />

Eye Examinations


• Romberg Balance<br />

• Walk and Turn<br />

• One-Leg Stand<br />

• Finger-To-Nose<br />

Step 5:<br />

Divided Attention<br />

DRE administers <strong>the</strong> following<br />

divided attention tests:


Step 6:<br />

Vital Signs Examination<br />

DRE conducts three vital signs<br />

examinations:<br />

• Body temperature<br />

• Blood pressure<br />

• Pulse rate (Taken 3<br />

times)


Step 7:<br />

Dark Room Examination<br />

• Pupillometer used to<br />

estimate <strong>the</strong> suspect’s<br />

pupil sizes in three<br />

different light levels.<br />

• Includes examination<br />

<strong>of</strong> nasal and oral<br />

cavities.


Step 8:<br />

Muscle Tone<br />

• DRE examines<br />

arrestee’s arms for<br />

muscle tone; flaccid,<br />

rigid, or normal.


• Arms<br />

• Neck<br />

• Ankles<br />

Step 9:<br />

Examine For Injection Sites<br />

DRE examines for injection sites. Most<br />

frequently used areas include:


Step 10:<br />

<strong>State</strong>ments & Interview<br />

• DRE conducts a structured interview<br />

• Miranda warnings given if not previously<br />

done<br />

• Suspect questioned about drug use based<br />

upon <strong>the</strong> results <strong>of</strong> <strong>the</strong> evaluation<br />

• DRE records admissions


Step 11: Opinion <strong>of</strong> <strong>the</strong> DRE<br />

• DRE forms an opinion as to <strong>the</strong> drug influence and<br />

<strong>the</strong> category(s) <strong>of</strong> drug(s)<br />

• Makes an “informed opinion” based upon totality<br />

<strong>of</strong> evaluation and evidence<br />

• Symptomology Chart used to<br />

form final opinion


• DRE requests urine or<br />

blood sample for<br />

analysis<br />

Step 12:<br />

Toxicology<br />

• Implied Consent<br />

• Statutes followed


DRE: HOW EFFECTIVE?<br />

• Currently in 44 states and growing<br />

• Proven to increase DUID arrests<br />

• Oregon, 130% increase since 1995<br />

• Washington, 75% increase since 1996<br />

• Approximately 80% confirmation rate<br />

nationally (based upon toxicology)<br />

• Increased acceptance in courts nationally


OREGON DRE VALIDATION<br />

STUDY<br />

• 3,364 DRE evaluations reviewed from 1996<br />

- 2002<br />

• Urine test results used<br />

• Included over 150 Oregon DREs statewide<br />

• Data entered and analyzed by <strong>the</strong> Oregon<br />

<strong>State</strong> Police and Pacific University College<br />

<strong>of</strong> Optometry<br />

• Modeled after <strong>the</strong> Arizona DRE Validation<br />

Study (June 1994 by Adler and Burns)


OREGON DRE STUDY<br />

OBJECTIVES<br />

• Determine relationship and trends <strong>of</strong> drug<br />

signs and symptoms to various drug<br />

categories and drug combinations<br />

• Identify driving behaviors associated to<br />

various drug categories and combinations<br />

• Determine overall effectiveness <strong>of</strong> <strong>the</strong><br />

Oregon DEC Program


Drug Recognition and <strong>the</strong> Drug<br />

Evaluation Classification<br />

Program is a proven, effective<br />

tool to detect and apprehend<br />

drug-impaired drivers and<br />

reduce <strong>the</strong> injuries and fatalities<br />

<strong>the</strong>y cause.


Results<br />

More suspected drugged impaired<br />

drivers arrested and removed from<br />

highways<br />

More people identified with drug abuse<br />

problems and treated<br />

Greater awareness <strong>of</strong> police <strong>of</strong>ficers<br />

More successful DUID prosecutions<br />

Increased public awareness <strong>of</strong> drugged<br />

driving and drug effects


Goals<br />

Expand <strong>the</strong> DEC program to all 50<br />

states<br />

Expand and increase basic drugged<br />

driving training to all law enforcement<br />

Train more DREs nationally<br />

Educate more judges and prosecutors<br />

in drugged driving issues<br />

Expand drugged driving research and<br />

detection measures


Pinellas Park, FL – 8/23/07<br />

• Drug Expert Spotted Use By Ex-Buc<br />

• PO Eric Schroder<br />

• David Boston – Asleep at <strong>the</strong> wheel / Traffic light<br />

• Failed OLS and WAT<br />

• No BAC<br />

• No illegal substance<br />

• Based on DRE / HGN / evaluation asked for<br />

ano<strong>the</strong>r test<br />

• 3 Weeks later / GHB


Now police <strong>of</strong>ficers from across <strong>the</strong> country are learning<br />

<strong>the</strong> telltale signs <strong>of</strong> intoxication produced by drugs o<strong>the</strong>r<br />

than alcohol. They also determine <strong>the</strong> class <strong>of</strong> drug(s)<br />

involved, and, most important, get convictions for driving<br />

under <strong>the</strong> influence <strong>of</strong> drugs.<br />

In police language, <strong>the</strong>y are training to become<br />

”Drug Recognition Experts"<br />

One chief’s comments on <strong>the</strong> value <strong>of</strong> Drug Recognition Experts<br />

"When you have a Drug Recognition Expert at <strong>the</strong> scene, it makes it<br />

so much easier to get a conviction down <strong>the</strong> road," In <strong>the</strong> past,<br />

drug-intoxicated drivers may have had an easier time avoiding<br />

prosecution. But as <strong>the</strong> number <strong>of</strong> recognition experts grows, that’s<br />

getting tougher. “<br />

Pennsauken NJ Police Chief John C<strong>of</strong>fey<br />

5-6-2001 Philadelphia Inquirer


DRE Seven Drug Categories:<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

CNS Depressants<br />

CNS Stimulants<br />

Hallucinogens<br />

Dissociative Anes<strong>the</strong>tic<br />

Narcotic Analgesics<br />

Inhalants<br />

Cannabis


MI DRE<br />

• Officer Jeramey Peters – Auburn Hill PD


DRE Seven Drug Categories:<br />

CNS Depressant<br />

CNS Stimulants<br />

Hallucinogens<br />

Dissociative Anes<strong>the</strong>tic<br />

Narcotic Analgesics<br />

Inhalants<br />

Cannabis


Central Nervous System Depressants<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


The most familiar CNS Depressant is<br />

Alcohol<br />

O<strong>the</strong>r CNS Depressants are legally<br />

prescribed for depression, anxiety,<br />

phobias, and o<strong>the</strong>r psychotic<br />

disorders; and slow down <strong>the</strong> process<br />

<strong>of</strong> <strong>the</strong> brain and many o<strong>the</strong>r functions<br />

that <strong>the</strong> brain controls.<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


The CNS Depressant category<br />

has six sub-categories:<br />

R<br />

Barbiturates<br />

R<br />

R<br />

R<br />

R<br />

Anti-anxiety tranquilizers<br />

Anti-depressant tranquilizers<br />

Anti-psychotics<br />

Non-barbiturates<br />

R<br />

Combinations<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


General Indicators<br />

R<br />

R<br />

R<br />

R<br />

R<br />

R<br />

R<br />

Drowsiness<br />

Thick slurred speech<br />

Uncoordinated, fumbling<br />

Flaccid muscle tone<br />

Sluggish<br />

Eyelids may be droopy<br />

Eyes may be bloodshot and watery<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Sleep Driving<br />

• Ambien – 26.5 million prescriptions<br />

• Warning – Don’t mix with alcohol<br />

• Appendix # I


Central Nervous System<br />

Stimulants<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


CNS Stimulants Include:<br />

R<br />

R<br />

R<br />

R<br />

Cocaine / Crack<br />

Amphetamines<br />

Methamphetamines<br />

General Cellular<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


General Indicators<br />

R<br />

R<br />

R<br />

R<br />

R<br />

R<br />

R<br />

R<br />

R<br />

R<br />

Restlessness<br />

Anxiety<br />

Excited<br />

Exaggerated reflexes<br />

Bruxism<br />

Runny nose<br />

Paranoia<br />

Euphoria<br />

Loss <strong>of</strong> appetite<br />

Loss <strong>of</strong> weight<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Hallucinogens<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Hallucinogens<br />

Hallucinogens are drugs that cause<br />

hallucinations. The user perceives<br />

things differently from <strong>the</strong> way <strong>the</strong>y<br />

actually are.<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Illusions / Delusions<br />

• Illusions: A false perception<br />

• Delusions: A false belief<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Synes<strong>the</strong>sia<br />

The transposition <strong>of</strong> sensory modes.<br />

“Seeing Sounds”<br />

“Hearing Colors”<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


General Indicators<br />

R Dazed appearance<br />

R Body tremors<br />

R Perspiring<br />

R Paranoia<br />

R Disoriented<br />

R Nausea<br />

R Difficulty with speech<br />

R Piloerection<br />

R <strong>State</strong>ments suggesting hallucinations<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Dissociative<br />

Anes<strong>the</strong>tics<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Dissociative Anes<strong>the</strong>tics will:<br />

R<br />

R<br />

R<br />

Slow down <strong>the</strong> thought process like<br />

CNS Depressants<br />

Speed up <strong>the</strong> vital signs like CNS<br />

Stimulants<br />

Cause hallucinations like <strong>the</strong><br />

Hallucinogen category<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


PCP and Its Analogs<br />

R Phencyclidine is a shortened form <strong>of</strong> <strong>the</strong><br />

chemical name PhenylCyclohexylPiperidine<br />

or PCP.<br />

R An “analog” is a “chemical first cousin.”<br />

R An analog has a slightly different chemical<br />

structure but produces <strong>the</strong> same effects.<br />

R Ketamine, an analog <strong>of</strong> PCP, is legally<br />

manufactured for use in surgery. It is <strong>of</strong>ten<br />

times stolen from veterinary <strong>of</strong>fices<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


General Indicators<br />

R Blank stare<br />

R Loss <strong>of</strong> memory<br />

R Perspiring heavily<br />

R Warm to touch<br />

R Incomplete, slurred verbal responses<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Narcotic Analgesics<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Narcotic Analgesics<br />

Natural Alkaloids: occur naturally in Opium.<br />

Syn<strong>the</strong>tics: chemically produced Narcotic<br />

Analgesics with no relations to opium but<br />

produce similar effects.<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Commonly-Abused Opiates and Their<br />

Derivation From Opium<br />

Raw Opium<br />

Powdered Opium<br />

(Smoking Opium)<br />

O<strong>the</strong>r Alkaloids<br />

Morphine<br />

Codeine<br />

Thebaine<br />

Diacetyl Morphine<br />

(Heroin)<br />

Hydromorphone<br />

(Dilaudid)<br />

Hydrocodone<br />

(Lortab)<br />

Oxymorphone<br />

(Numorphan)<br />

Oxycodone<br />

(Oxycontin)<br />

XVII-6


General Indicators<br />

R<br />

R<br />

R<br />

R<br />

R<br />

R<br />

R<br />

R<br />

“Track marks”<br />

“On <strong>the</strong> nod”<br />

Slowed reflexes<br />

Low, slow, raspy speech<br />

Facial itching<br />

Dry mouth<br />

Euphoria<br />

Flaccid muscle tone<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Inhalants<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Inhalants<br />

R<br />

R<br />

R<br />

Volatile solvents (gasoline)<br />

Aerosols (hair spray)<br />

Anes<strong>the</strong>tic gases (E<strong>the</strong>r)<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


General Indicators<br />

R<br />

Odor <strong>of</strong> inhaled substance<br />

R<br />

Dizziness, numbness<br />

R<br />

Possible traces <strong>of</strong> substance around <strong>the</strong><br />

face and nose<br />

R<br />

Bloodshot, watery eyes<br />

R<br />

Distorted perception, time and space<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Cannabis<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Cannabis<br />

The primary psychoactive<br />

ingredient in Cannabis is:<br />

Delta-9<br />

Tetrahydrocannabinol<br />

(THC)<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Types Of Cannabis<br />

Marijuana<br />

Hashish<br />

Hashish Oil<br />

Marinol<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


General Indicators<br />

R<br />

R<br />

R<br />

R<br />

R<br />

R<br />

R<br />

Odor <strong>of</strong> marijuana<br />

Relaxes inhibitions<br />

Marked reddening <strong>of</strong> <strong>the</strong> conjunctiva<br />

Body tremors<br />

Disorientation<br />

Impairs attention<br />

<strong>Impaired</strong> perception <strong>of</strong> time and<br />

distance<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


Relationships to <strong>the</strong> Categories<br />

CNS<br />

Depressant<br />

CNS<br />

Stimulant<br />

Hallucinogen Dissociative<br />

Anes<strong>the</strong>tic<br />

Narcotic<br />

Analgesic<br />

Inhalant<br />

Cannabis<br />

HGN<br />

Present<br />

None<br />

None<br />

Present<br />

None<br />

Present<br />

None<br />

VGN<br />

Present *<br />

None<br />

None<br />

Present<br />

None<br />

Present *<br />

None<br />

LOC<br />

Present<br />

None<br />

None<br />

Present<br />

None<br />

Present<br />

Present<br />

Pupil<br />

Size<br />

Normal*<br />

Dilated<br />

Normal<br />

Dilated Normal Constricted<br />

Normal *<br />

Dilated *<br />

Reaction<br />

To Light<br />

Slow<br />

Slow<br />

Normal *<br />

Normal<br />

Little or<br />

None<br />

Visible<br />

Slow<br />

Normal<br />

High dose for that particular person.<br />

Pupil size may be dilated for Soma and Quaaludes<br />

Pupil size may be dilated for some inhalants<br />

Pupil size may be normal<br />

Certain psychedelic amphetamines<br />

may cause slowing.


Vital Sign Relationship to <strong>the</strong><br />

Seven Drug Categories<br />

CNS<br />

Depressant<br />

CNS<br />

Stimulant<br />

Hallucinogen<br />

Dissociative<br />

Anes<strong>the</strong>tic<br />

Narcotic<br />

Analgesic<br />

Inhalant<br />

Cannabis<br />

Pulse<br />

Down *<br />

Up<br />

Up<br />

Up<br />

Down<br />

Up<br />

Up<br />

Blood<br />

Pressure<br />

Down<br />

Up<br />

Up<br />

Up<br />

Down<br />

Up/<br />

Down*<br />

Up<br />

Body<br />

Temp<br />

Normal<br />

Up<br />

Up<br />

Up<br />

Down<br />

Up/<br />

Normal/<br />

Down<br />

Normal<br />

Quaaludes and ETOH may elevate.<br />

Up for aerosols and volatile solvents and down for anes<strong>the</strong>tic gases.<br />

DITEP – Drug Impairment Training for Educational Pr<strong>of</strong>essionals


National DRE Data<br />

Tracking System<br />

www.dretracking.org


DRE Database<br />

2007<br />

Currently <strong>the</strong>re are more than 1,642 evaluators<br />

using <strong>the</strong> system in 37 <strong>State</strong>s.<br />

Currently, <strong>the</strong>re are 9,222 evaluations for 2007.<br />

The National ratio for evaluators vs. evaluations is<br />

5.6 evaluations.


Report Results:Opinion and Toxicology<br />

Results Match<br />

All <strong>State</strong>s 2007<br />

9222 Total records for all evaluations that<br />

meet selected criteria 6066 Records have<br />

completed toxicology 5305 <strong>of</strong> which<br />

Opinion is Supported 5947 evaluations<br />

are considered 89.2% Supported


Medical Ruleouts<br />

• 1.87 % - 2005<br />

• 1.62 % - 2006<br />

• 1.80 % - 2007


Challenges<br />

• People will do almost anything to<br />

beat a DUI charge<br />

• The youngest and most<br />

inexperienced assistants<br />

prosecute <strong>the</strong>se cases<br />

• Some <strong>of</strong> <strong>the</strong> most experienced<br />

and highly paid defense attorneys<br />

(with incredible resources)<br />

defend <strong>the</strong>m


Resource Prosecutor<br />

<strong>Michigan</strong><br />

• Ken Stecker – (517)449-5646<br />

• MI Prosecutors Association


• NHTSA’s Prioritizing <strong>of</strong> Prosecutors: TSRP, What<br />

Does it Mean and How Can It Help You?<br />

• Stop, Look and Listen: Prosecutors at <strong>the</strong> Crash Scene<br />

• Event Data Recorders (EDR) – Recording Automotive<br />

Crash Event Data<br />

• Crawford Made Simple<br />

• Above and Beyond<br />

• Selling <strong>the</strong> Obvious


Contact Information<br />

National Traffic Law Center<br />

(NTLC)<br />

Joanne Michaels<br />

Phone: (703) 549-4253<br />

Fax: (703) 836-3195<br />

E-mail: joanne@ndaa.org


http://www.ndaaapri.org/apri/programs/traffic/ntlc_h<br />

ome.html


Website<br />

• DRE Publication – Phoenix Prosecutor<br />

http://phoenix.gov/phxpros.html


Advanced Roadside <strong>Impaired</strong><br />

Driving Enforcement<br />

I(ARIDE)<br />

National Highway Traffic Safety<br />

Administration


Advanced Roadside <strong>Impaired</strong><br />

Driving Enforcement (ARIDE)<br />

ARIDE trains law enforcement <strong>of</strong>ficers to<br />

observe, identify, and articulate <strong>the</strong><br />

signs <strong>of</strong> impairment related to drugs,<br />

alcohol at roadside.


ARIDE Training<br />

• SFST training a pre-requisite<br />

• 16-hour course<br />

• Bridges <strong>the</strong> gap between SFST and DRE<br />

• Promotes use <strong>of</strong> DREs<br />

• Trains law enforcement<br />

and prosecutors toge<strong>the</strong>r


Overall Course Goal<br />

I<br />

This course will train law enforcement<br />

<strong>of</strong>ficers to observe, identify and articulate<br />

<strong>the</strong> signs <strong>of</strong> impairment related to drugs,<br />

alcohol or a combination <strong>of</strong> both in order to<br />

reduce <strong>the</strong> number <strong>of</strong> impaired driving<br />

incidents, traffic fatalities and serious<br />

injuries.


Important Note<br />

I<br />

This course is not intended to be a<br />

substitute for <strong>the</strong> Drug Evaluation and<br />

Classification Program.<br />

This course will NOT qualify or certify<br />

<strong>the</strong> student as a DRE.


Foundations <strong>of</strong> ARIDE<br />

I<br />

DWI Detection Process<br />

Phase One: Vehicle in Motion<br />

Phase Two: Personnel Contact<br />

Phase Three: Pre-arrest Screening<br />

SFST Test Battery<br />

Horizontal Gaze Nystagmus<br />

Walk and Turn<br />

One Leg Stand


Difference Between<br />

DECP and ARIDE<br />

I<br />

DREs are required to:<br />

• Complete 72 Hrs <strong>of</strong> classroom training<br />

• Field certifications<br />

• Comprehensive final knowledge<br />

examination<br />

• Maintain certification through continuing<br />

education


Bridging <strong>the</strong> Gap<br />

I<br />

• ARIDE training will allow <strong>the</strong> student to<br />

build on SFST skills and knowledge<br />

• ARIDE will provide <strong>the</strong> student with<br />

information which will assist <strong>the</strong>m to<br />

identify <strong>the</strong> drug impaired driver<br />

• ARIDE is designed to support <strong>the</strong> DECP


DITEP<br />

• Drug Impairment Training for Educational<br />

Pr<strong>of</strong>essionals<br />

• 26 <strong>State</strong>s<br />

• 2 day Training – Day 1 ALL – Day 2,<br />

School Nurses & SROs


DRE List Serve<br />

• http://www.drug-recognition-l.org/<br />

• 900 plus, police, prosecutors, toxicologist<br />

highway safety and medical pr<strong>of</strong>essionals<br />

personnel


DRE Website<br />

• http://www.decp.org/<br />

• What’s new, updates, history, training<br />

conference information.<br />

• <strong>State</strong> Coordinators. Password access for<br />

Forms, Standards, Manuals, etc.


The Technical<br />

Advisory Panel<br />

(TAP)<br />

Subcommittee <strong>of</strong> IACP<br />

Highway Safety<br />

Ensures integrity <strong>of</strong> <strong>the</strong> DECP<br />

and SFST training (standards,<br />

curricula)<br />

# #


The Role <strong>of</strong> <strong>the</strong> TAP<br />

Asst. Comm. Earl M. Sweeney<br />

Chair, Technical Advisory Panel<br />

and<br />

IACP Highway Safety Committee


TAP Membership<br />

• HSC Chairman<br />

• IACP Staff ( One Vote)<br />

• DRE Representatives From Each <strong>of</strong> <strong>the</strong><br />

Four Regions<br />

• Police Administrator


TAP Membership<br />

(cont’d)<br />

• DRE Section Chair ( 1 year)<br />

• At Large<br />

• Highway Safety Representative<br />

• Medical / Optometry<br />

• Medical / MD


TAP Membership<br />

(cont’d)<br />

• NHTSA (Ex-Officio Member)<br />

• Police Training Institution<br />

• IADLEST member (POST<br />

director or designee)<br />

• Prosecutor


TAP Membership<br />

(cont’d)<br />

•<strong>State</strong> DEC Coordinator<br />

• Toxicologist


Results<br />

More suspected drugged impaired<br />

drivers arrested and removed from<br />

highways<br />

More people identified with drug abuse<br />

problems and treated<br />

Greater awareness <strong>of</strong> police <strong>of</strong>ficers<br />

More successful DUID prosecutions<br />

Increased public awareness <strong>of</strong> drugged<br />

driving and drug effects


GENERAL SUPPORT FOR DEC<br />

<strong>State</strong>/local law enforcement training<br />

Alcohol, Drug Abuse Department<br />

Drug/Alcohol Treatment Providers<br />

Governor’s Traffic Safety Commission<br />

Private Traffic Safety groups (MADD)<br />

NHTSA Regional HQ<br />

Chief’s and Sheriff’s Association<br />

Motor Vehicles Division


Specific Support For DEC<br />

• Legislation – 1) submit to more than one<br />

test; 2) <strong>of</strong> blood and or urine as well as<br />

breath; 3) for <strong>the</strong> purpose <strong>of</strong> determining <strong>the</strong><br />

alcohol/and or drug content <strong>of</strong> his/her<br />

blood.<br />

• Enforcement – SFST trained<br />

• Prosecution – Be aggressive in seeking<br />

court acceptance <strong>of</strong> SFST evidence,<br />

including HGN<br />

• Toxicology


HOW<br />

Site visit<br />

Criteria is met or close to<br />

Designate someone to lead<br />

Designee submits plan to TAP –<br />

TAP meets twice a year<br />

Approval / Disapproval


Approval / Support<br />

Support in setting up <strong>the</strong> program<br />

Support in setting up schools<br />

Support from IACP / NHTSA<br />

with out <strong>of</strong> state instructors<br />

Expert witnesses<br />

Technical support (TAP)


Approval / Support, cont’d<br />

Technical Advisory Panel – DRE<br />

Instructors, Toxicology, Prosecution,<br />

Medical, Highway Safety, IACP &<br />

NHTSA<br />

DRE Conference<br />

Regional Meetings


Surrounding <strong>State</strong>s<br />

Indiana<br />

Illinois<br />

Ohio<br />

Wisconsin<br />

Canada


Surrounding <strong>State</strong>s DREs and Number <strong>of</strong><br />

Evaluations<br />

• Indiana – 96 DREs – 353 Evals<br />

• Illinois – 10 DREs – 0 Evaluations<br />

• Ohio – 4 DREs<br />

• Wisconsin – 86 DREs – 350 Evaluations<br />

• *Pennsylvania – 15 DREs – 203 Evaluations


Pennsylvania<br />

•1 st DRE Training 2005<br />

• Total DREs to date – 36<br />

• 2006 – 203 DRE Evaluations<br />

• 2007 – 440 Evaluations + 600 DWI


DEC Program Contact Information<br />

Ernie Floegel<br />

Drug Programs Coordinator<br />

Hopewell Junction, New York<br />

Telephone: 845-226-8058<br />

E-mail: iacpdre@frontiernet.net

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